2. AGENDA
• Agency Overview
Social Work Background & Code of Ethics
Mission of Agency
Agency Background
Agency Culture & Policies
Programs Offered
o My Experience
• Stages of Project
Intro
Engagement/Assessment
Evaluation/Termination
Questions
3. Who is a social worker?
• Highly trained and experienced
individual who is competent in human
behavior and development
• Who are social workers employed by?
- hospitals, schools, mental health
clinics, senior centers, private practices,
prisons, military, and in numerous
public and private agencies
• Over 200,000 clinically trained social
workers which is more than
psychiatrists, psychologists, and
psychiatric nurses combined
• U.S. Department of Veterans Affairs
- 10,000 MSW
What do social workers do?
• Enhance human well-being & help meet
the basic human needs of all people
• Help heal with life’s most difficult
challenges:
- poverty, discrimination, abuse,
divorce, loss, unemployment, disability,
mental illness, addiction
2016
4. CODE OF
ETHICS
1. 1. Service
2. 2. Social Justice
3. 3. Dignity and worth of a
person
4. 4. Importance of human
relationships
5. 5. Integrity
6. Competence
6. AGENCY CULTURE & POLICIES
• Team approach (integrated primary care)
• Policies
- Confidentiality & Mandated Reporting
- Custody
- Treating a minor
- Risk assessment policy
- Specific polices to clinic: only take referrals from PCPs
• Research
- Use of evidence-based interventions
- Treatment is short-term and problem-focused
7. AGENCY BACKGROUND
• Pottsville, Bloomsburg, Selinsgrove, Mount Pleasant, Lock Haven,
Knapper clinics
• Integrated for a little over 5 years
• 1 licensed psychologist
• 1-2 post-doctoral fellows
• Social work extern
• Social worker embedded in some sites
8. MY EXTERNSHIP
• Completed my 400 hours at Geisinger Medical Center in Pottsville, PA
• Start date September 13, 2016 – end date December 8, 2016
“It is our mission to enhance quality of life through an integrated health
service organization based on a balanced program of patient care,
education, research, and community service.”
9. TREATMENT OPTIONS OFFERED
• Evidence based, problem-focused interventions/practice wisdom
• Psychological evaluations
• Individual psychotherapy and family therapy
• Crisis evaluations
• Warm handoffs
•Treatment and skills groups
Disruptive Behavior Clinic (DBC)
Acceptance and Commitment Therapy (ACT)
Anxiety Group
10. PATIENT
BACKGROUN
DSMet with children who would
benefit from our services:
- ADHD
- Disruptive Behavior
Disorder
- Anxiety
- Depression
- Crisis Situations
- Adjustment Disorder
- Disordered Eating
- Body Image
11.
12. MY EXPERIENCE
• Observe therapy sessions
• Exposure to diagnoses
• Set up:
-Everyday supplies
-DBC materials
• Score Vanderbilts, MASC-2,
CDI-2 & ECBI
•Journal Club & Trainings
•DBC & ACT Group
Databases
13. DISRUPTIVE
BEHAVIOR
CLINIC
• 5-10 year old patients
• Disruptive Behaviors/ADHD
• Evidence-based treatment
• Child & Parent Programs
• Social Skills, Emotional
Regulation
• Behavior Strategies
14. PARENTS INVOLVEMENT WITH DBC
• Behavior modification
• Evidence-based tools:
-Positive reinforcement / Token economy
-Praising
-Ignoring
-Time out
15. SENIOR PROJECT
• Collecting data and recording in a database shows:
- What worked?
- What didn’t work?
- Factors determining why it worked for some patients, didn’t work
for others
- Data will be analyzed at the end to better illustrate results
16. WHAT DID I DO?
Developed data
collection procedures
across all 6 clinics for
DBC
Clarified the
procedure for
collecting and scoring
Created a database for
managing the data of
DBC
Created a codebook
for the database
17. ALSO…
• Scored Eyberg Child Behavior Inventory
(ECBI)
• Entered the data in DBC database
• Recorded attendance and homework
completion
• Created a database for ACT Group
18. WHY CREATE A
DATABASE?
Central database to get outcome data
Determine what factors contributed to higher
success rates
Help shape future successful DBC
Factors that were important to include in the
database to ensure evaluation of successes could be
properly determined
•
19. CLIENT
SYSTEM
FOR DBC
_________
ADDRESSES MICRO
PRACTICE
DBC children aged 5-10
Significant enough to cause distress to parents and/or
teachers
Pottsville clinic
Currently 10 white children, 1 biracial
child
9 males, 2 females
Ages: 5(4); 6(2); 7(2); 8(2); 9(1); 10(1)
Referred by PCPs & disruptive
behaviors/ADHD
22. EVALUATION/TERMI
NATION
• Post ECBIs
Post Top Problems
•Continue or terminated?
• Database will be evaluated by
colleagues due my externship
ending before group ends
23. • What did I learn?
• What would I do differently?
